Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or North Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Carolina only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. North Carolina (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Davidson Homes, Inc. (NPI 1598824856)

Field	Value
Entity Type	Organization
Organization	Davidson Homes, Inc.
Address	2084 Us 70 Hwy
City	Swannanoa
State	NC
ZIP	28778
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	December 6, 2006

Payer Source	Total Paid
Medicaid	$67.6M
Medicare	$0

Key Findings

DAVIDSON HOMES, INC. is effectively a Medicaid-centric provider: there is no Medicare billing on file and reported lifetime Medicaid revenue is $67.6M, indicating the organization’s operations and payer exposure are concentrated almost entirely within Medicaid programs. This single-payer profile means analyses of financial risk and utilization should focus on state Medicaid policies and waiver programs rather than Medicare dynamics.

Revenue is highly concentrated in a small set of service lines: the provider’s top three Medicaid codes (H2016, S5145, T2020) together account for 71.6% of its total Medicaid revenue. Individually those codes generate $23M (H2016), $14.1M (S5145), and $11.4M (T2020), so strategic shifts or rate changes affecting any one of these codes would disproportionately impact overall revenue.

The code mix signals a community behavioral-health and developmental-disability operating model: H2016 (Comprehensive community support services, per diem) is the largest revenue driver, while S5145 (Foster care, therapeutic, child; per diem) and T2020 (Day habilitation, waiver; per diem) together point to substantial capacity in foster-care therapeutic services and day habilitation programs. The dominance of per-diem habilitation and community-support codes suggests the provider runs programmatic, site-based, or day-program services rather than episodic clinic visits.

H2016 volume is a clear competitive outlier in-state: the provider ranks #4 of 65 providers in North Carolina for H2016 and sits in the 95th percentile, described as notably above typical state volume. That rank and percentile indicate DAVIDSON HOMES is a leading in-state provider for comprehensive community support services and likely captures a meaningful share of patients receiving that service.

By contrast, S5145 and T2020 are large revenue contributors but are described as typical in-state volumes: S5145 ranks #8 of 63 (89th percentile; typical, unremarkable volume) and T2020 ranks #7 of 48 (87th percentile; typical, unremarkable volume). These placements show the organization is a high-volume but not singularly dominant provider for foster-care therapeutic and day habilitation services relative to its peer set.

The provider’s broader Medicaid code footprint includes T2021 (69.7K claims, $7M revenue; ranks #22 of 199, 89th percentile), H2015 (35.2K claims, $4.2M revenue; ranks #39 of 251, 85th percentile), and T2016 (24K claims, $4.1M revenue; ranks #9 of 92 providers in-state (91th percentile); all labeled as typical, unremarkable volumes). This distribution indicates some diversification across per-15-minute and residential habilitation services in addition to the per-diem offerings, which mitigates but does not eliminate concentration risk.

High claim counts on the top codes reflect sizable operational scale: H2016 shows 118.3K claims, S5145 shows 92.5K claims, and T2020 shows 66.5K claims, implying the organization has the administrative and service-delivery capacity to process large daily or recurring service volumes. Analysts should interpret these volumes as evidence of sustained program throughput and consider workforce, site capacity, and waiver-contracting as drivers of that throughput.

The provider has long tenure in federal enrollment, with an NPI enumerated on 2006-12-06 (~20 years ago), which suggests established operations and experience navigating Medicaid billing and state waiver requirements. That longevity, combined with high statewide ranking on H2016, positions DAVIDSON HOMES as an experienced mid-to-large regional operator within North Carolina’s behavioral-health and habilitation service market.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	118,320	$190	$23M
S5145	Foster care, therapeutic, child; per diem	92,460	$150	$14.1M
T2020	Day habilitation, waiver; per diem	66,530	$170	$11.4M
T2021	Day habilitation, waiver; per 15 minutes	69,710	$100	$7M
H2015	Comprehensive community support services, per 15 minutes	35,180	$120	$4.2M
T2016	Habilitation, residential, waiver; per diem	23,990	$170	$4.1M
T2013	Habilitation, educational, waiver; per hour	20,700	$110	$2.2M
H2025	Ongoing support to maintain employment, per 15 minutes	12,970	$130	$1.7M
S5150	Unskilled respite care, not hospice; per 15 minutes	740	$70	$47.8K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.

Claims Volume vs. North Carolina Distribution

Davidson Homes, Inc. — 1 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2013	Habilitation, educational, waiver; per hour	115	190	29,090	$150	$9.1M
H2016	Comprehensive community support services, per diem	4	70	28,040	$220	$8.2M
S5145	Foster care, therapeutic, child; per diem	8	60	27,280	$160	$7.2M
T2020	Day habilitation, waiver; per diem	7	50	22,570	$180	$6.2M
T2021	Day habilitation, waiver; per 15 minutes	22	200	25,740	$130	$4.6M
H2015	Comprehensive community support services, per 15 minutes	39	250	10,060	$130	$2.4M
T2016	Habilitation, residential, waiver; per diem	9	90	5,520	$190	$1.6M
H2025	Ongoing support to maintain employment, per 15 minutes	20	60	6,380	$120	$1.3M
S5150	Unskilled respite care, not hospice; per 15 minutes	133	170	4,310	$80	$958.4K

Davidson Homes, Inc. — Billing Profile & Reimbursement Data

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Davidson Homes, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References